| Conservative management of two ectopic pregnancies implanted in previous uterine scars. | |
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MedLine Citation:
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PMID: 12047544 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cesarean section scar pregnancy is rare. A variety of interventions have been implemented to terminate the pregnancy and preserve the uterus; however, the optimal treatment is unknown. We describe two cases of this rare condition diagnosed by transvaginal ultrasound. In the first case the diagnosis of an 8-week non-viable gestation in a uterine scar was made sonographically in a 40-year-old woman. The patient was treated with intramuscular methotrexate. Myometrial integrity was suggested both by ultrasound findings and laparoscopic findings. In the second case, an early cervicoisthmic pregnancy in a uterine scar was diagnosed by sonography in a 39-year-old woman. This patient was treated successfully with a full course of intramuscular methotrexate. Complete disappearance of the gestational sac took place 4 months following beta-human chorionic gonadotrophin normalization. Intramuscular methotrexate may be a treatment alternative for Cesarean section scar pregnancies. |
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Authors:
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R Haimov-Kochman; Y Sciaky-Tamir; N Yanai; S Yagel |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology Volume: 19 ISSN: 0960-7692 ISO Abbreviation: Ultrasound Obstet Gynecol Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-06-05 Completed Date: 2002-08-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9108340 Medline TA: Ultrasound Obstet Gynecol Country: England |
Other Details:
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Languages: eng Pagination: 616-9 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Hadassah Medical Center, Hebrew University, Jerusalem, Israel. syagel@hadassah.org.il |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abortifacient Agents, Nonsteroidal* Adult Cesarean Section* Cicatrix* Female Humans Methotrexate* Pregnancy Pregnancy, Ectopic / therapy*, ultrasonography Ultrasonography, Prenatal* |
| Chemical | |
Reg. No./Substance:
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0/Abortifacient Agents, Nonsteroidal; 59-05-2/Methotrexate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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